Outcome of hematopoietic stem cell transplantation (HCT) from HLA-matched related donor for Fanconi anemia (FA) in adolescents and adults: a retrospective study by Eastern Mediterranean Blood and Marrow Transplantation Group (EMBMT)

Hematopoietic Stem Cell Transplantation (HSCT) is the only potentially curative treatment option for the hematologic complications that occur in patients with Fanconi anemia (FA). In this study, we present a retrospective multicenter analysis from the Eastern Mediterranean Blood and Marrow Transplan...

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Veröffentlicht in:Bone marrow transplantation (Basingstoke) 2020-07, Vol.55 (7), p.1485-1490
Hauptverfasser: AlDawsari, Ghuzayel, Elhaddad, Alaa, El Fakih, Riad, Ben Othman, Tarek, Ahmed, Parvez, Ghavamzadeh, Ardeshir, Bazarbachi, Ali, Dasouki, Majed J., Fathy, Gamal, Alzahrani, Hazzaa, Samra, Mohamed, Torjemane, Lamia, Satti, Tariq Mahmood, Shaheen, Marwan, Alfraih, Feras, Ayas, Mouhab, Alahmari, Ali, Alhayli, Saud, Nassar, Amr, Abboud, Miguel, Abdelfattah, Raafat, El Solh, Hassan, Hashmi, Shahrukh, Elhassan, Tusneem, Ahmed, Syed Osman, Aljurf, Mahmoud
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container_issue 7
container_start_page 1485
container_title Bone marrow transplantation (Basingstoke)
container_volume 55
creator AlDawsari, Ghuzayel
Elhaddad, Alaa
El Fakih, Riad
Ben Othman, Tarek
Ahmed, Parvez
Ghavamzadeh, Ardeshir
Bazarbachi, Ali
Dasouki, Majed J.
Fathy, Gamal
Alzahrani, Hazzaa
Samra, Mohamed
Torjemane, Lamia
Satti, Tariq Mahmood
Shaheen, Marwan
Alfraih, Feras
Ayas, Mouhab
Alahmari, Ali
Alhayli, Saud
Nassar, Amr
Abboud, Miguel
Abdelfattah, Raafat
El Solh, Hassan
Hashmi, Shahrukh
Elhassan, Tusneem
Ahmed, Syed Osman
Aljurf, Mahmoud
description Hematopoietic Stem Cell Transplantation (HSCT) is the only potentially curative treatment option for the hematologic complications that occur in patients with Fanconi anemia (FA). In this study, we present a retrospective multicenter analysis from the Eastern Mediterranean Blood and Marrow Transplantation Group (EMBMT) of matched related donor HSCT for FA in adolescents and adults transplanted between 1988 and 2015. Forty-five patients received HSCT with a median age at transplant of 18 years, the interquartile range (IQR) (15–23.5); 25 (55.6%) patients were females and 20 (44.4%) were males. Conditioning regimen was fludarabine-based in 29 (64.4%) patients, irradiation-based in five (11.1%) patients, and the remaining patients received other combinations. Indication for HSCT was bone marrow failure in 39 (86.7%) and myelodysplastic syndrome in six (13.3%) patients. Stem cell source was bone marrow in 22 (48.9%), peripheral blood in 20 (44.4%), umbilical cord blood in one (2.2%), and combination of bone marrow and cord blood in two (4.4%) patients. Twenty-seven (60%) patients engrafted and five (11.1%) had primary engraftment failure. The median time to neutrophil engraftment was 14 days (range 10–21 days); median time for platelet engraftment was 17 days (10–33 days). The probability of developing grade II–IV acute GVHD for all patients was 7.0% and chronic GVHD 36.6%. No new malignancies were reported. The OS probability was 53.6% (95% CI, 38.3–68.9%) with a median follow-up of 13 months (95% CI, 1–240). Our HLA-matched related HSCT results in AYA patients with FA compare favorably with other reported international registry data.
doi_str_mv 10.1038/s41409-020-0809-5
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In this study, we present a retrospective multicenter analysis from the Eastern Mediterranean Blood and Marrow Transplantation Group (EMBMT) of matched related donor HSCT for FA in adolescents and adults transplanted between 1988 and 2015. Forty-five patients received HSCT with a median age at transplant of 18 years, the interquartile range (IQR) (15–23.5); 25 (55.6%) patients were females and 20 (44.4%) were males. Conditioning regimen was fludarabine-based in 29 (64.4%) patients, irradiation-based in five (11.1%) patients, and the remaining patients received other combinations. Indication for HSCT was bone marrow failure in 39 (86.7%) and myelodysplastic syndrome in six (13.3%) patients. Stem cell source was bone marrow in 22 (48.9%), peripheral blood in 20 (44.4%), umbilical cord blood in one (2.2%), and combination of bone marrow and cord blood in two (4.4%) patients. Twenty-seven (60%) patients engrafted and five (11.1%) had primary engraftment failure. The median time to neutrophil engraftment was 14 days (range 10–21 days); median time for platelet engraftment was 17 days (10–33 days). The probability of developing grade II–IV acute GVHD for all patients was 7.0% and chronic GVHD 36.6%. No new malignancies were reported. The OS probability was 53.6% (95% CI, 38.3–68.9%) with a median follow-up of 13 months (95% CI, 1–240). 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In this study, we present a retrospective multicenter analysis from the Eastern Mediterranean Blood and Marrow Transplantation Group (EMBMT) of matched related donor HSCT for FA in adolescents and adults transplanted between 1988 and 2015. Forty-five patients received HSCT with a median age at transplant of 18 years, the interquartile range (IQR) (15–23.5); 25 (55.6%) patients were females and 20 (44.4%) were males. Conditioning regimen was fludarabine-based in 29 (64.4%) patients, irradiation-based in five (11.1%) patients, and the remaining patients received other combinations. Indication for HSCT was bone marrow failure in 39 (86.7%) and myelodysplastic syndrome in six (13.3%) patients. Stem cell source was bone marrow in 22 (48.9%), peripheral blood in 20 (44.4%), umbilical cord blood in one (2.2%), and combination of bone marrow and cord blood in two (4.4%) patients. Twenty-seven (60%) patients engrafted and five (11.1%) had primary engraftment failure. The median time to neutrophil engraftment was 14 days (range 10–21 days); median time for platelet engraftment was 17 days (10–33 days). The probability of developing grade II–IV acute GVHD for all patients was 7.0% and chronic GVHD 36.6%. No new malignancies were reported. The OS probability was 53.6% (95% CI, 38.3–68.9%) with a median follow-up of 13 months (95% CI, 1–240). 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Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Bone marrow transplantation (Basingstoke)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AlDawsari, Ghuzayel</au><au>Elhaddad, Alaa</au><au>El Fakih, Riad</au><au>Ben Othman, Tarek</au><au>Ahmed, Parvez</au><au>Ghavamzadeh, Ardeshir</au><au>Bazarbachi, Ali</au><au>Dasouki, Majed J.</au><au>Fathy, Gamal</au><au>Alzahrani, Hazzaa</au><au>Samra, Mohamed</au><au>Torjemane, Lamia</au><au>Satti, Tariq Mahmood</au><au>Shaheen, Marwan</au><au>Alfraih, Feras</au><au>Ayas, Mouhab</au><au>Alahmari, Ali</au><au>Alhayli, Saud</au><au>Nassar, Amr</au><au>Abboud, Miguel</au><au>Abdelfattah, Raafat</au><au>El Solh, Hassan</au><au>Hashmi, Shahrukh</au><au>Elhassan, Tusneem</au><au>Ahmed, Syed Osman</au><au>Aljurf, Mahmoud</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome of hematopoietic stem cell transplantation (HCT) from HLA-matched related donor for Fanconi anemia (FA) in adolescents and adults: a retrospective study by Eastern Mediterranean Blood and Marrow Transplantation Group (EMBMT)</atitle><jtitle>Bone marrow transplantation (Basingstoke)</jtitle><stitle>Bone Marrow Transplant</stitle><addtitle>Bone Marrow Transplant</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>55</volume><issue>7</issue><spage>1485</spage><epage>1490</epage><pages>1485-1490</pages><issn>0268-3369</issn><eissn>1476-5365</eissn><abstract>Hematopoietic Stem Cell Transplantation (HSCT) is the only potentially curative treatment option for the hematologic complications that occur in patients with Fanconi anemia (FA). In this study, we present a retrospective multicenter analysis from the Eastern Mediterranean Blood and Marrow Transplantation Group (EMBMT) of matched related donor HSCT for FA in adolescents and adults transplanted between 1988 and 2015. Forty-five patients received HSCT with a median age at transplant of 18 years, the interquartile range (IQR) (15–23.5); 25 (55.6%) patients were females and 20 (44.4%) were males. Conditioning regimen was fludarabine-based in 29 (64.4%) patients, irradiation-based in five (11.1%) patients, and the remaining patients received other combinations. Indication for HSCT was bone marrow failure in 39 (86.7%) and myelodysplastic syndrome in six (13.3%) patients. Stem cell source was bone marrow in 22 (48.9%), peripheral blood in 20 (44.4%), umbilical cord blood in one (2.2%), and combination of bone marrow and cord blood in two (4.4%) patients. Twenty-seven (60%) patients engrafted and five (11.1%) had primary engraftment failure. The median time to neutrophil engraftment was 14 days (range 10–21 days); median time for platelet engraftment was 17 days (10–33 days). The probability of developing grade II–IV acute GVHD for all patients was 7.0% and chronic GVHD 36.6%. No new malignancies were reported. The OS probability was 53.6% (95% CI, 38.3–68.9%) with a median follow-up of 13 months (95% CI, 1–240). Our HLA-matched related HSCT results in AYA patients with FA compare favorably with other reported international registry data.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32024988</pmid><doi>10.1038/s41409-020-0809-5</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0268-3369
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issn 0268-3369
1476-5365
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subjects 631/532/1542
692/699/1541/13
Adolescents
Adults
Analysis
Anemia
Blood
Bone marrow
Care and treatment
Cell Biology
Complications
Cord blood
Correspondence
Fanconi syndrome
Fanconi's anemia
Fludarabine
Graft-versus-host reaction
Hematology
Hematopoietic stem cells
Histocompatibility antigen HLA
Internal Medicine
Irradiation
Medicine
Medicine & Public Health
Myelodysplastic syndrome
Peripheral blood
Public Health
Radiation
Stem cell transplantation
Stem Cells
Teenagers
Transplantation
Transplants & implants
Umbilical cord
Youth
title Outcome of hematopoietic stem cell transplantation (HCT) from HLA-matched related donor for Fanconi anemia (FA) in adolescents and adults: a retrospective study by Eastern Mediterranean Blood and Marrow Transplantation Group (EMBMT)
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